COVID-19: A Systematic Review of the Transmissibility, Pathogenesis, Entry Factors, and Signature Immune Response

Objectives: The emergence of coronavirus disease 2019 (COVID-19), caused by the novel coronavirus severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has led to a global health calamity unprecedented in the modern world. The disease spread worldwide, and to date, there have been over 230 m...

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Main Authors: Deena Fayyad, Jessica L. Kelts, Tristan H. Nielson, Ibiere Lovelyn Epelle, Nicodemus C. Monear, Miguel T. G. Strawn, Benjamin N. Woerner, Besa Xhabija
Format: Article
Language:English
Published: MDPI AG 2022-04-01
Series:BioChem
Subjects:
Online Access:https://www.mdpi.com/2673-6411/2/2/9
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author Deena Fayyad
Jessica L. Kelts
Tristan H. Nielson
Ibiere Lovelyn Epelle
Nicodemus C. Monear
Miguel T. G. Strawn
Benjamin N. Woerner
Besa Xhabija
author_facet Deena Fayyad
Jessica L. Kelts
Tristan H. Nielson
Ibiere Lovelyn Epelle
Nicodemus C. Monear
Miguel T. G. Strawn
Benjamin N. Woerner
Besa Xhabija
author_sort Deena Fayyad
collection DOAJ
description Objectives: The emergence of coronavirus disease 2019 (COVID-19), caused by the novel coronavirus severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has led to a global health calamity unprecedented in the modern world. The disease spread worldwide, and to date, there have been over 230 million confirmed cases of COVID-19, including approximately 4.7 million deaths. Mutant variants of the virus have raised concerns about additional pandemic waves and threaten to reverse our progress thus far to limit the spread of the virus. These variants include Alpha, Beta, and Delta (first reported in December 2020 in the United Kingdom, South Africa, and India, respectively) and Gamma (reported in January 2021 in Brazil). In some cases, countries have even reported a rise in daily cases higher than the first wave in March 2020. Given the rapidly evolving nature of COVID-19 and subsequent new findings and updates each day, this review article aims to comprehensively summarize the etiology, pathophysiology, and clinical features of SARS-CoV-2 infection. Methods: A systematic review of the literature was performed in accordance with PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines to gain insight into the transmissibility, pathogenesis, entry factors, and immune response of COVID-19. Specifically, Pubmed and Google Scholar databases were searched to identify any relevant articles. References within the included articles were reviewed. Published articles related to search criteria from the onset of the COVID-19 pandemic to March 2022 were included. Results: Viral transmissibility is predominantly affected by the modes of transmission, various mutations on the nucleocapsid protein and endoRNAse, gender, age, and other factors. The pathophysiological mechanism is generally unknown, although the clinical manifestations such as headache, loss of smell and taste, vomiting, diarrhea, multiorgan failure, and dermatological and cardiovascular complications are well documented. The progression of infection depends on the immunopathological response and the innate/adaptive immunity. Conclusion: Our review has summarized the latest knowledge about SARS-CoV2. However, as the pandemic continues to spread across the continents, there is an urgent need for more research on potentially emerging coronaviruses and the development of a universal coronaviruses vaccine to put the pandemic behind us.
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spelling doaj.art-7d3092793c9747c9bf7cf7dcc97b60fa2023-11-23T15:37:40ZengMDPI AGBioChem2673-64112022-04-012211514410.3390/biochem2020009COVID-19: A Systematic Review of the Transmissibility, Pathogenesis, Entry Factors, and Signature Immune ResponseDeena Fayyad0Jessica L. Kelts1Tristan H. Nielson2Ibiere Lovelyn Epelle3Nicodemus C. Monear4Miguel T. G. Strawn5Benjamin N. Woerner6Besa Xhabija7Department of Natural Sciences, University of Michigan-Flint, Flint, MI 48502, USADepartment of Natural Sciences, University of Michigan-Flint, Flint, MI 48502, USADepartment of Natural Sciences, University of Michigan-Flint, Flint, MI 48502, USADepartment of Natural Sciences, University of Michigan-Flint, Flint, MI 48502, USADepartment of Natural Sciences, University of Michigan-Flint, Flint, MI 48502, USADepartment of Natural Sciences, University of Michigan-Flint, Flint, MI 48502, USADepartment of Natural Sciences, University of Michigan-Flint, Flint, MI 48502, USADepartment of Natural Sciences, University of Michigan-Flint, Flint, MI 48502, USAObjectives: The emergence of coronavirus disease 2019 (COVID-19), caused by the novel coronavirus severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), has led to a global health calamity unprecedented in the modern world. The disease spread worldwide, and to date, there have been over 230 million confirmed cases of COVID-19, including approximately 4.7 million deaths. Mutant variants of the virus have raised concerns about additional pandemic waves and threaten to reverse our progress thus far to limit the spread of the virus. These variants include Alpha, Beta, and Delta (first reported in December 2020 in the United Kingdom, South Africa, and India, respectively) and Gamma (reported in January 2021 in Brazil). In some cases, countries have even reported a rise in daily cases higher than the first wave in March 2020. Given the rapidly evolving nature of COVID-19 and subsequent new findings and updates each day, this review article aims to comprehensively summarize the etiology, pathophysiology, and clinical features of SARS-CoV-2 infection. Methods: A systematic review of the literature was performed in accordance with PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines to gain insight into the transmissibility, pathogenesis, entry factors, and immune response of COVID-19. Specifically, Pubmed and Google Scholar databases were searched to identify any relevant articles. References within the included articles were reviewed. Published articles related to search criteria from the onset of the COVID-19 pandemic to March 2022 were included. Results: Viral transmissibility is predominantly affected by the modes of transmission, various mutations on the nucleocapsid protein and endoRNAse, gender, age, and other factors. The pathophysiological mechanism is generally unknown, although the clinical manifestations such as headache, loss of smell and taste, vomiting, diarrhea, multiorgan failure, and dermatological and cardiovascular complications are well documented. The progression of infection depends on the immunopathological response and the innate/adaptive immunity. Conclusion: Our review has summarized the latest knowledge about SARS-CoV2. However, as the pandemic continues to spread across the continents, there is an urgent need for more research on potentially emerging coronaviruses and the development of a universal coronaviruses vaccine to put the pandemic behind us.https://www.mdpi.com/2673-6411/2/2/9COVID-19SARS-CoV-2viral transmissibilityentry factorsviral pathogenesisACE2 receptor
spellingShingle Deena Fayyad
Jessica L. Kelts
Tristan H. Nielson
Ibiere Lovelyn Epelle
Nicodemus C. Monear
Miguel T. G. Strawn
Benjamin N. Woerner
Besa Xhabija
COVID-19: A Systematic Review of the Transmissibility, Pathogenesis, Entry Factors, and Signature Immune Response
BioChem
COVID-19
SARS-CoV-2
viral transmissibility
entry factors
viral pathogenesis
ACE2 receptor
title COVID-19: A Systematic Review of the Transmissibility, Pathogenesis, Entry Factors, and Signature Immune Response
title_full COVID-19: A Systematic Review of the Transmissibility, Pathogenesis, Entry Factors, and Signature Immune Response
title_fullStr COVID-19: A Systematic Review of the Transmissibility, Pathogenesis, Entry Factors, and Signature Immune Response
title_full_unstemmed COVID-19: A Systematic Review of the Transmissibility, Pathogenesis, Entry Factors, and Signature Immune Response
title_short COVID-19: A Systematic Review of the Transmissibility, Pathogenesis, Entry Factors, and Signature Immune Response
title_sort covid 19 a systematic review of the transmissibility pathogenesis entry factors and signature immune response
topic COVID-19
SARS-CoV-2
viral transmissibility
entry factors
viral pathogenesis
ACE2 receptor
url https://www.mdpi.com/2673-6411/2/2/9
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